Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. Knowledge base ...
Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. Knowledge base ...
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
Project Mgr. RAC
El Paso, TX · On-site
Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements. * Knowledge ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
... RAC) audits, Medicare and Medicaid audits, commercial payer audits, and other regulatory or reimbursement-related requests. This position ensures timely and accurate submission of medical ...
RAC Specialist
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit ... Medicare and Medicaid billing requirements, payer audit processes, healthcare documentation ...
RAC Specialist
North Platte, NE · On-site
$18.75 - $25.75/hr
The RAC Specialist serves as the organizational subject matter specialist for Recovery Audit ... Medicare and Medicaid billing requirements, payer audit processes, healthcare documentation ...
Government Audit Recovery Specialist
Costa Mesa, CA · On-site
$25 - $35/hr
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
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Government Audit Recovery Specialist
Costa Mesa, CA · On-site
$25 - $35/hr
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6.Finalize and sign-off with those auditors on agreed upon ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
RAC Manager
Ontario, CA · On-site
$71K - $94K/yr
Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG ... Provides supervision and direction for Medicare and Medicaid Appeals process along with analysis ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
... Medicare, Medicaid, and other payer reimbursement requirements. This position plays a key role in ... Coordinate the execution of audits for government (RAC, UPIC, MAC) and commercial payers , ensuring ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Working collaboratively with the audit team to identify and obtain approval for particular ... Must not be currently sanctioned or excluded from the Medicare program by the OIG. * Minimum of ...
Revenue & Training Specialist (Registered Nurse or Licensed Practical Nurse) - Chart Audit
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Revenue & Training Specialist (Registered Nurse or Licensed Practical Nurse) - Chart Audit
Hattiesburg, MS · On-site
... RAC) audits, ensuring that all audits are completed in a timely manner. The role also involves ... Must have thorough knowledge and experience in Medicare rules and regulations and billing and ...
Medicare RAC Audit information
See salary details
$12.74 - $14.34
4% of jobs
$14.34 - $15.93
7% of jobs
$17.34 is the 25th percentile. Wages below this are outliers.
$15.93 - $17.53
15% of jobs
$17.53 - $19.12
19% of jobs
The median wage is $19.54 / hr.
$19.12 - $20.72
18% of jobs
$20.72 - $22.31
9% of jobs
$22.75 is the 75th percentile. Wages above this are outliers.
$22.31 - $23.91
10% of jobs
$23.91 - $25.50
6% of jobs
$25.50 - $27.10
3% of jobs
$27.10 - $28.69
3% of jobs
$28.69 - $30.29
5% of jobs
$12
$20
$30
How much do medicare rac audit jobs pay per hour?
As of Jul 28, 2026, the average hourly pay for medicare rac audit in the United States is $20.80, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.32 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive in the Medicare Rac Audit position, and why are they important?
To excel in a Medicare RAC Audit role, you need a thorough understanding of Medicare regulations, auditing practices, and healthcare compliance, often supported by credentials such as a Certified Professional Medical Auditor (CPMA) or similar. Familiarity with audit management software, electronic health records (EHRs), and data analysis tools is commonly required. Attention to detail, analytical thinking, and clear written and verbal communication are important soft skills for producing accurate audit findings and interacting with providers. These skills ensure the identification of improper payments, maintenance of compliance, and support for healthcare organizations in navigating complex Medicare requirements.
What is a Medicare RAC Audit job?
A Medicare RAC (Recovery Audit Contractor) Audit job involves reviewing Medicare claims to identify and recover improper payments made to healthcare providers. RAC auditors analyze medical records, billing data, and coding practices to ensure compliance with Medicare guidelines. They work to detect overpayments and underpayments, helping to prevent fraud, waste, and abuse in the Medicare system. This role requires knowledge of medical coding, billing regulations, and healthcare compliance.
What are the typical daily responsibilities for someone working in Medicare RAC Audit?
Professionals in Medicare RAC Audit roles are primarily responsible for reviewing medical records and claims to identify and report improper payments or billing errors under Medicare guidelines. On a daily basis, you may analyze complex data, prepare detailed audit reports, communicate findings with healthcare providers, and collaborate with other compliance or billing team members to ensure corrections are implemented. The work often involves balancing independent research with collaborative meetings to resolve issues and maintain compliance. This position offers a fast-paced environment that requires strong organizational skills and provides significant exposure to Medicare policies and healthcare operations.
More about Medicare RAC Audit jobs
What cities are hiring for Medicare Rac Audit jobs? Cities with the most Medicare Rac Audit job openings:
What are the most commonly searched types of Medicare Rac Audit jobs? The most popular types of Medicare Rac Audit jobs are:
What states have the most Medicare Rac Audit jobs? States with the most job openings for Medicare Rac Audit jobs include:
What job categories do people searching Medicare Rac Audit jobs look for? The top searched job categories for Medicare Rac Audit jobs are:
Full-time
Posted 13 days ago
University Medical Center Of El Paso rating
6.7
Based on 36 frontline employees who took The Breakroom Quiz
639th of 1,051 rated hospitals
Job description
The RAC Project Manager performs activities related to the coordination and management of the Medicare RAC Program involving audit defense and claims appeals. Works closely with Case Management staff for determination of medical necessity status. Monitors processes and implements procedures as needed to ensure compliance with federal guidelines involving reimbursement for services performed. Acts as a resource to provide board level reports of program status related to job related functions.
Required Skills:
- Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements.
- Knowledge base in medical terminology, healthcare coding processes including CPT4, HCPCS, ICD-9
- Knowledge of Medicaid and Medicare, HIPAA, TJC regulations, and healthcare laws and regulations.
- Knowledge and ability to interpret government regulations, medical documentation,
- Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines.
- Knowledge and ability to apply strong analytical skills, data management and operational process, and computer skills involved in the preparation of reports and presentations.
- Knowledge of complexities of an Academic Medical Center. Involves others appropriately in consultations and decisions.
- Ability to operate successfully in a constantly changing, fast-paced environment.
- Ability to apply clinical expertise to review and audit medical records.
- Ability to apply excellent interpersonal communication and negotiation skills.
- Ability to apply written and oral communication skills.
- Ability to work with people of all social, economic, and cultural backgrounds. Exemplifies an approachable style that elicits open communication with Associates, Management staff, and Physicians. Strong interpersonal skills demonstrating the ability to listen effectively.
- Ability to be flexible, open-minded and adaptable to change.
- Ability to apply strong organizational and time management skills to multi-task in a fast paced environment and prioritize tasks and role components.
- Ability to and coordinate with different departments and entities simultaneously in order to carry out auditing function to meet deadlines and goals.
- Ability to work independently and exercise sound judgment in interactions with members of the workforce, contracted vendors, and patients/families. Ability to maintain a high degree of credibility, independence, integrity, confidentiality and trust required.
- Ability to develop partnerships, teamwork and good working relationships and maintain an open, participative communication style.
- Bilingual English/Spanish preferred, culturally sensitive.
Required Experience:
Work Experience:
Three years of experience in healthcare project or program management required. Experience in case management, coding, auditing, healthcare fraud investigation, and clinical documentation preferred.
License/Registration/Certification
RN License preferred;
Certified Case Manager (CCM), Certified Professional Medical Auditor (CPMA), or Certified Medical Audit Specialist (CMAS) obtained within two years of accepting position.
Education/Training
Bachelors degree required; preferably in Business, Medical Records Technology, Health Services Administration, Nursing or related field. Masters degree preferred.
What University Medical Center Of El Paso employees say
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Benefits
Hours and flexibility
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About University Medical Center of El Paso
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
El Paso, TX, US
Year founded
1915